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DR. MARIANA REVELO MD
NPI 1639171069
Internal Medicine in Tehachapi, CA

Active since August 15, 2005PECOS Enrolled
1100 W TEHACHAPI BLVD, TEHACHAPI, CA 93561(661) 398-3737 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2021, Jan 12, 2021 (2 updates tracked since 2021).

About Dr. Mariana Revelo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIANA REVELO MD (NPI 1639171069) is an individual internal medicine provider in Tehachapi, California, licensed in California (A85386) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639171069
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARIANA REVELOCredential: MD
Location Address1100 W TEHACHAPI BLVDTehachapi, CA 93561-2563
Mailing Address1100 W Tehachapi BlvdTehachapi, CA 93561-2563 · (661) 398-3737
Phone(661) 398-3737
Sole ProprietorNo
Enumeration DateAugust 15, 2005
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1639171069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A85386
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1100 W TEHACHAPI BLVD, Tehachapi, CA 93561
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mariana Revelo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mariana Revelo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
38 mi
Health Maintenance Organization
3733 SAN DIMAS ST
Bakersfield, CA 93301
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1861424376 (800) 353-5400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93561 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.05 typical visit price
range $59.26 – $178.09
Typical copayment $33.76 (range $14.81 – $44.52)
Most-billed visit code 99204
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariana Revelo's NPI number?

The NPI number for Mariana Revelo is 1639171069. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Mariana Revelo located?

Mariana Revelo practices at 1100 W Tehachapi Blvd, Tehachapi, CA 93561. The listed phone number is (661) 398-3737.

What is Mariana Revelo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mariana Revelo enrolled in Medicare?

Yes. Mariana Revelo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mariana Revelo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariana Revelo reassigns Medicare benefits to Southern California Permanente Medical Group (Bakersfield, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariana Revelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariana Revelo was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.